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Cervicitis, Ectropion, and True Erosion

Nikola Conrad, MD Reviewed 06/2022
 


BASICS

DESCRIPTION

  • Cervicitis is acute or chronic cervical inflammation; can be infectious or noninfectious

  • Ectropion is the eversion of the endocervix, exposing the columnar cells to the vaginal enviro...

DIAGNOSIS

HISTORY

  • Can be asymptomatic or have increased or abnormal vaginal discharge

  • Dyspareunia

  • Abdominopelvic pain

  • Postcoital or intermenstrual bleeding/spotting

PHYSICAL EXAM

  • Cervicitis: Most evident is...

TREATMENT

MEDICATION

First Line

  • If infectious cervicitis suspected in high-risk patient and testing is not available, presumptive treatment is appropriate: The recommended regimen for for cervicitis is ...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • Test of cure for C. trachomatis is recommended in pregnant patients to document eradication of infection; perform at least 3 weeks following tre...

REFERENCES

1
Workowski KA, Bachmann LH, for Centers for Disease Control and Prevention. Sexually transmitted diseases treatment guidelines, 2021. MMWR Recomm Rep. 2021;70(4):1–187. https://www.cdc.gov/...

ADDITIONAL READING

  • Cazanave  C, Manhart  LE, Bébéar  C. Mycoplasma genitalium, an emerging sexually transmitted pathogen. Med Mal Infect.  2...

CODES

ICD10

  • N72 Inflammatory disease of cervix uteri

  • N86 Erosion and ectropion of cervix uteri

SNOMED

  • 37610005 inflammation of cervix (disorder)

  • 198337003 erosion and ectropion of the cervix (disorder)

  • 5467...

CLINICAL PEARLS

  • If infectious cervicitis is suspected, treatment of choice is ceftriaxone 500 mg IM plus doxycycline 100 mg PO for 7 days. Do not wait for test results.

  • Sexual partners need to be treat...

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